一种可扩展的方法,用于优化医院手术计划,考虑效率、灵活性和改善患者预后

Jiaqi Suo , Claudio Martani , Timothy B. Lescun , Cherri A. Krug
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引用次数: 0

摘要

医院在有效地适应不断增长和变化的需求方面面临着挑战。主要的挑战来自于适应不同的病人需要特定的手术资源和关注。传统的调度方法往往不能解决这些环境的动态性,这些环境具有大量的不确定性和利益相关者复杂多变的需求。本研究提出了一种新颖的方法,旨在提高医院的运营效率,同时考虑所有利益相关者的利益,包括医院管理者、医务人员(医生、护士、技术人员)和患者。这需要一种微妙的方法来有效地处理不可预测的治疗需求、资源可用性和患者需求。该方法系统地从定义约束和资源到建模不确定性,通过迭代过程生成和评估最优计划。本研究开发并应用了一种12步方法来优化普渡兽医医院农场动物科在规定时间内的手术安排。通过对动态手术需求建模和在资源约束下探索各种调度可能性,应用表明了所提出方法的实际效益。结果表明,所提出的方法在管理延误、事故和疾病成本的同时,有效地适应了不断增长的运营需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A scalable methodology for optimizing hospital surgical schedules considering efficiency, flexibility, and improved patient outcomes
Hospitals face challenges in efficiently adapting treatment delivery to growing and changing demands. The main challenge arises from accommodating diverse patients requiring specific surgical resources and attention. Traditional scheduling methods often fail to address the dynamic nature of these environments, which are characterized by numerous uncertainties and stakeholders’ complex and changing needs. This study presents a novel methodology designed to enhance hospital operational efficiency while considering the interests of all stakeholders, including hospital administrators, medical staff (doctors, nurses, technicians), and patients. This requires a nuanced approach to effectively handle unpredictable treatment demands, resource availability, and patient requirements. The methodology systematically progresses from defining constraints and resources to modeling uncertainties generating and evaluating optimal schedules through iterative processes. This study develops and applies a 12-step method to optimize the surgery scheduling for the farm animal section of the Purdue Veterinary Hospital over a defined period. The application shows the practical benefits of the proposed approach by modeling dynamic surgical demands and exploring various scheduling possibilities within resource constraints. The results reveal that the proposed method effectively accommodates increased operational demands while managing delays, accidents, and illness costs.
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来源期刊
Healthcare analytics (New York, N.Y.)
Healthcare analytics (New York, N.Y.) Applied Mathematics, Modelling and Simulation, Nursing and Health Professions (General)
CiteScore
4.40
自引率
0.00%
发文量
0
审稿时长
79 days
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